Implant-based immediate breast reconstruction in the previously augmented patient

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Jason RoostaeianJaco H Festekjian

Abstract

Millions of women have undergone augmentation mammaplasty with implants and breast cancer continuing to be the most common non-cutaneous malignancy in female patients. Reconstructive surgeons will inevitably encounter breast cancer patients with prior augmentation. Implant-based techniques represent the most common form of breast reconstruction overall and remains a common option among those who were previously augmented. The purpose of this study is to evaluate outcomes of implant-based reconstruction in previously augmented women. A retrospective review from September 2004 to December 2009 was performed. 38 women (63 breasts) with a history of prior augmentation (PA) who underwent implant-based reconstruction were identified and compared to a non-prior augmented (NPA) control group (77 patients; 138 breasts). Normative data, augmentation details, reconstruction method, complication rates, and revision rates were evaluated. The total complication rate was significantly different between the two groups with 18 complications (28.6%) occurring in 9 PA breasts and 20 complications (14.5%) in 19 NPA breasts (p-value 0.037). When analyzed by specific complication subtypes, capsular contracture was the only complication that bordered...Continue Reading

References

Oct 1, 1984·Plastic and Reconstructive Surgery·B R Burkhardt
Mar 7, 2003·Plastic and Reconstructive Surgery·Yvonne L KaranasWilliam W Shaw
Jul 2, 2003·Plastic and Reconstructive Surgery·David B SarwerLinton A Whitaker
Sep 13, 2003·The Breast Journal·James C GrottingNolis S Arkoulakis
Jan 27, 2007·Plastic and Reconstructive Surgery·Colleen M McCarthyBabak Mehrara
Jul 17, 2014·Aesthetic Surgery Journal·Michael AlperovichNolan S Karp

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Citations

Jun 14, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Horacio F Mayer, Hugo D Loustau
Mar 23, 2017·Annals of Plastic Surgery·Joshua B ElstonDeniz Dayicioglu
May 26, 2017·Plastic and Reconstructive Surgery·Eugenia H ChoScott T Hollenbeck

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